1227 East Market Street, INC.
1227 East Market Street, INC. was paid $629K by Medicaid between Jan 2018 and Apr 2023, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider info1227 EAST MARKET STREET, INC.
WARREN, OH 44483
WARREN, OH 44483
33aNPI1871757260assigned 07/15/2008
33bProvider typeSpecialist
28Total paid$629K
24GClaims22,635
24DCodes billed24
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#26 of 219
Median peer was paid$46K
This provider vs. median14×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,104 | $24K | |
| 2019 | 2,090 | $48K | |
| 2020 | 3,304 | $72K | |
| 2021 | 4,789 | $150K | |
| 2022 | 10,100 | $304K | |
| 2023 | 1,248 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 4,497 | 2,848 | $162K |
| 76819 | Fetal biophysical profile; without non-stress testing | 13% | 1,278 | 593 | $82K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 1,515 | 1,404 | $76K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.9% | 1,018 | 694 | $56K |
| 76830 | Ultrasound, transvaginal | 8.9% | 933 | 846 | $56K |
| 76820 | 8.2% | 1,106 | 496 | $51K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.4% | 551 | 447 | $34K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.8% | 168 | 140 | $24K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 3.7% | 1,050 | 1,015 | $23K |
| 81025 | 2.8% | 2,626 | 2,416 | $18K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 158 | 146 | $10K |
| 83986 | 1.5% | 2,816 | 2,549 | $10K |
12 more codes
| 85013 | <1% | 1,332 | $5K | |
| 76813 | <1% | 67 | $4K | |
| 81015 | <1% | 1,348 | $4K | |
| 81002 | <1% | 1,473 | $4K | |
| 59025 | Fetal non-stress test | <1% | 169 | $3K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 47 | $2K |
| H1000 | Prenatal care, at-risk assessment | <1% | 149 | $2K |
| 59430 | <1% | 29 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 121 | $1K |
| 82274 | <1% | 44 | $315.43 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $285.97 |
| 99080 | 0% | 125 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKHAVARI, PARISA (OWNER)